| NPI | 1922405331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0002267-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0002267) |
| 101YP2500X Counselor, Professional (Licence: OH E0002267) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2021-07-25 |